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Testicular Rupture: A Tough Nut to Crack.

ABSTRACT: Blunt scrotal injury represents a diagnostic dilemma for emergency physicians (EP). Consequently, point-of-care ultrasound (POCUS) has emerged as a tool for early investigation of the acute scrotum in the emergency department. We describe a case where an EP used scrotal POCUS to immediately visualize the loss of testicular contour and underlying heterogeneous parenchyma to rapidly make the diagnosis of testicular rupture in a young male presenting with scrotal trauma. The use of POCUS in this case expedited therapy, likely improving the patient's outcome. To our knowledge, this is the first detailed description of testicular rupture diagnosed with POCUS by an EP.

SUBMITTER: Holliday TL

PROVIDER: S-EPMC5965175 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Testicular Rupture: A Tough Nut to Crack.

Holliday Tyler L TL Robinson Kristine S KS Dorinzi Nicole N Vucelik Andrew W AW Setzer Erin L EL Williams Debra L DL Sharon Melinda J MJ Minardi Joseph J JJ

Clinical practice and cases in emergency medicine 20170706 3

Blunt scrotal injury represents a diagnostic dilemma for emergency physicians (EP). Consequently, point-of-care ultrasound (POCUS) has emerged as a tool for early investigation of the acute scrotum in the emergency department. We describe a case where an EP used scrotal POCUS to immediately visualize the loss of testicular contour and underlying heterogeneous parenchyma to rapidly make the diagnosis of testicular rupture in a young male presenting with scrotal trauma. The use of POCUS in this ca ...[more]

PMID: 29849294

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